Active NPI
Trey Gorman
- Hearing Instrument Specialist
- Marietta, GA
National Provider Identifier
1427401736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- HADS000919
- Practice address
- 2300 Roswell Rd Ste 110
Marietta, GA 30062-4952 - Phone
- (770) 919-8324
- NPI assigned
- Jul 21, 2016
- Last updated
- Jul 21, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | HADS000919 | GA | Primary |
| Hearing Instrument Specialist | 237700000X | 2229 | AL | |
| Hearing Instrument Specialist | 237700000X | HA0587 | MS |
Addresses
Primary practice location
2300 Roswell Rd Ste 110
Marietta, GA 30062-4952
Mailing address
2025 Buena Vista Dr
Vestavia, AL 35216-3701
Phone (205) 822-0700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| HADS000919 | GA | MD | Hearing Instrument Specialist |
| HA0587 | MS | MD | Hearing Instrument Specialist |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Beltone
- Hearing Instrument Specialist
- Vestavia Hills, AL
- NPI 1881378875
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469059200000",
"number": "1427401736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2025 BUENA VISTA DR",
"city": "VESTAVIA",
"state": "AL",
"postal_code": "352163701",
"telephone_number": "205-822-0700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 ROSWELL RD STE 110",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300624952",
"telephone_number": "770-919-8324"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORMAN",
"first_name": "TREY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-07-21",
"last_updated": "2016-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "GA",
"license": "HADS000919",
"primary": true
},
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "AL",
"license": "2229",
"primary": false
},
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "MS",
"license": "HA0587",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.